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Remarks: Joe Biden Addresses Lowering Health Care Costs in the United States - July 7, 2023
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Joe Biden Person
Somewhat Negative
Joe Biden
Very Positive
00:00:00-00:00:34 (34 sec)
"Thank you, thank you, thank you. Please, have a seat. You know, Cory, what you've exposed is something that I think we don't pay enough attention to in government. And it's not necessarily about healthcare; it's just about being played for a sucker."
1
Joe Biden
Very Positive
00:00:34-00:01:08 (34 sec)
"When I started to deal with junk fees relating to airline costs, ticket seats, baggage, and the like, I think even some of the folks working with me thought, "It's not that big a deal." But, you know, in America -- it sounds corny -- but fairness is something we kind of expect. And I don't know anybody who likes being viewed as having been played for a sucker, taken advantage of. People are ready to meet their responsibilities."
2
Joe Biden
Leans Positive
00:01:08-00:01:39 (31 sec)
"But I think this is a big deal. It's a big deal. And I have to thank my staff -- and I mean that sincerely -- for focusing on the healthcare piece. I didn't know some of this. I thought I knew a hell a lot about healthcare and -- [laughter] -- no, I've been a sig- -- [microphone feedback] -- sorry. [Laughter] I've been a significant consumer, and my family has as well."
3
Joe Biden
Unknown
00:01:39-00:01:50 (11 sec)
"But look, Cory, your story, it turns out, is a very familiar one to too many Americans. You try to do the right thing only to get ripped off instead."
4
Joe Biden
Very Negative
00:01:50-00:02:11 (21 sec)
"On too many nights, too many Americans lie in bed staring at the ceiling worrying what will happen if their spouse gets seriously ill; what will happen if something else happens to them. Do they have enough insurance? Will they have to -- will they have to -- how are they going to pay their medical bills? Will they have to sell their home?"
5
Joe Biden
Very Positive
00:02:11-00:02:57 (45 sec)
"If you can -- a point -- a point of personal privilege, as we used to say in the Senate -- I was telling my staff that I li- -- I was raised -- it was a middle-class family. We weren't poor. We lived in a three-bedroom house with four kids and a grandpop, a split-level home, and -- and my -- "the boys" -- quote, unquote -- now, the princess, my sister, had her own bedroom -- [laughter] -- as she should have. But the three boys were -- there were four -- there were two sets of bunks in the other room. And there was a closet that ran -- as your walked down the -- you walked up the stairs, you walk straight down the hall, you went into, quote, "the boys' room." The three of us. And on the left, there was a closet in that whole wall. My parents' bed, headboard, was against that -- where that closet was."
6
Joe Biden
Very Negative
00:02:57-00:03:18 (21 sec)
"And every once in a while, rarely, my -- you could hear -- you could hear sort of a restlessness going on. You know, like, the -- just -- and one -- one morning, I get up, and I ask -- I said, "What's wrong with dad?" He said that he just got word that his company said they're no longer going to pay for health insurance; doesn't know what they're going to do."
7
Joe Biden
Very Positive
00:03:18-00:03:39 (21 sec)
"Well, you know, for all of you out there who -- and there's so many people who still are in that circumstance. And talk about being deprived your dignity. Not being able to take care of your family if you don't have health insurance is -- is I think one of the most consequential things that can -- that can happen to a person."
8
Joe Biden
Leans Positive
00:03:39-00:03:50 (11 sec)
"And so, you know, for all of you out there, I just want you to know: I get it. We get it. We have your back, and we're never going to stop fighting for you. And I promise you that."
9
Joe Biden
Slightly Positive
00:03:50-00:03:57 (8 sec)
"You know, since I've been in office, we've been carrying out my economic vision -- [microphone feedback] -- [picks up and moves handheld microphone to bottom of podium]. All right. [Laughter]"
10
Joe Biden
Very Positive
00:03:57-00:04:40 (42 sec)
"Been carrying out my economic vision to move -- to move from trickle-down economics what -- to what everyone on the Wall Street Journal -- from the Wall Street Journal to Financial Times is calling "Bidenomics." It's about growing the economy from the middle out and the bottom up, and -- because when that happens, the folks at the bottom have a shot. They get a chance to rise up. And the wealthy still do very well. It's not to hurt anyone at all."
11
Joe Biden
Unknown
00:04:40-00:04:51 (11 sec)
"But today's job shows that I think -- jobs report -- I think shows that Bidenomics is working. We added 200,000 jobs -- I think 209,000 jobs last month."
12
Joe Biden
Positive
00:04:51-00:05:10 (19 sec)
"And all told, we've created over 13 million -- I think it's 13,300,000 jobs -- [applause] -- in two and a half years. That's more than any president ever created in a four-year term."
13
Joe Biden
Slightly Negative
00:05:10-00:05:19 (9 sec)
"And, folks, the unemployment rate is below 4 percent for 17 straight months. Not since 1960 has that occurred."
14
Joe Biden
Unknown
00:05:19-00:05:23 (4 sec)
"Inflation continues to fall. It's less than half of what it was a year ago."
15
Joe Biden
Slightly Positive
00:05:23-00:05:42 (19 sec)
"And the rate of Americans without health insurance is at an all-time low. Premiums for coverage -- [applause] -- premiums for coverage under the Affordable Care Act are $800 less per person than before I took office."
16
Joe Biden
Unknown
00:05:42-00:05:44 (2 sec)
"And that's Bidenomics."
17
Joe Biden
Unknown
00:05:44-00:05:51 (7 sec)
"Today I'm joined by healthcare advocates and leaders, many I've -- if I started to name you all, we would be here all night. [Laughter]"
18
Joe Biden
Negative
00:05:51-00:06:03 (12 sec)
"But -- but I want to talk about key parts of my economic plan. We're protecting consumers and reducing healthcare costs without -- without in any way hurting insurance companies, docs, hospitals, or anybody else."
19
Joe Biden
Very Negative
00:06:03-00:06:15 (11 sec)
"You know, in my State of the Union Address, I outlined our fight to end junk fees -- the hidden charges for companies who seek -- sneak into your bills things that you don't think you're going to pay for."
20
Joe Biden
Leans Negative
00:06:15-00:06:27 (12 sec)
"Each year, those junk fees cost hundreds of dollars a month for tens of billion -- for tens of billions of dollars, weighing on -- down family budgets and making it harder for people to pay their bills."
21
Joe Biden
Very Positive
00:06:27-00:06:36 (9 sec)
"Junk fees may not matter to the very wealthy -- and it's not the wealthy's fault, by the way -- but they matter to working folks in homes like the ones I grew up in."
22
Joe Biden
Unknown
00:06:36-00:06:48 (12 sec)
"Over the past few months -- over the past few months, my administration has cracked down on junk fees across different industries: banking, hotels, concerts, tickets, airlines, cable, Internet -- and the Internet."
23
Joe Biden
Very Positive
00:06:48-00:06:52 (4 sec)
"And today I'm pleased to announce that we're making some progress on healthcare."
24
Joe Biden
Slightly Positive
00:06:52-00:07:08 (15 sec)
"First, my administration is cracking -- [coughs] -- excuse me -- cracking down on junk fees for health insurance plans that are like the ones that are inexpensive but too often stick consumers with hidden fees."
25
Joe Biden
Unknown
00:07:08-00:07:20 (12 sec)
"As Cory just talked about, junk fee plans are "short-term" health insurance that are supposed to provide a few months of temporary coverage for people who are moving from one plan to another."
26
Joe Biden
Unknown
00:07:20-00:07:30 (10 sec)
"But the prior administration before me decided to let insurance companies make more money by selling junk plans that are up to three years long -- up to three years long."
27
Joe Biden
Negative
00:07:30-00:07:43 (13 sec)
"Americans thought they were buying temporary insurance that would provide real coverage in those plans. Instead, many have been saddled with thousands of dollars in medical bills these junk fees don't cover. And I think it's outrageous."
28
Joe Biden
Leans Positive
00:07:43-00:08:07 (24 sec)
"There are two main ways junk fees stick -- stick you with the high bills. The one way you just heard from Cory: He needed emergency surgery to get his appendix removed, but hidden in the front -- in the fine print, his plan said it would only cover a fraction of the $37,000 the hospital bill was, even though he was paying his insurance premiums every month."
29
Joe Biden
Very Positive
00:08:07-00:08:19 (13 sec)
"Another predatory way of getting around protection Barack and I fought so hard in the Affordable Care Act to accomplish, protecting millions of people with pre-existing conditions, like cancer and heart disease. That was a way to get around that."
30
Joe Biden
Very Negative
00:08:19-00:08:40 (21 sec)
"Just imagine if you had a heart attack and you expect your insurance company to pay for it, when you're diagnosed with a cancer and you expect your insurance company to pay for it. But they dig into your medical records, discover you had asthma as a kid, claim you had a heart attack was a pre-existing condition, and then refuse to pay."
31
Joe Biden
Very Negative
00:08:40-00:08:43 (3 sec)
"Folks, that's not health insurance. That's a scam. That's a scam. It has to end."
32
Joe Biden
Leans Negative
00:08:43-00:08:58 (14 sec)
"And folks -- [applause] -- today, my administration is issuing a new rule that would close the loophole that allows these junk insurance plans to exploit Americans."
33
Joe Biden
Unknown
00:08:58-00:09:12 (14 sec)
"Under our rule, "short-term" plans would have to be short-term. That means four months or less, not three years."
34
Joe Biden
Very Positive
00:09:12-00:09:21 (9 sec)
"Insurance companies would also be required to provide a clear disclaimer upfront about what's covered and what is not covered, instead of burying it in fine print."
35
Joe Biden
Very Positive
00:09:21-00:09:40 (19 sec)
"Second, we're cracking down on surprise medical bills, which I thought we had made some progress on. You've already heard stories about people who choose a hospital that's in their insurance network and they get a surprise bill for thousands of dollars because the hospital assigned them an anesthesiologist who wasn't in their network without them knowing that."
36
Joe Biden
Leans Positive
00:09:40-00:09:54 (15 sec)
"In January 2022, we ended surprise medical billing so hospitals that are in-network can't send you a surprise bill for an out-of-network doctor that you did not choose or even know he was consulted."
37
Joe Biden
Very Positive
00:09:54-00:10:06 (12 sec)
"And over the past 18 months, we've protected 1 million Americans every single month from these surprise bills. But these are bills that cost people hundreds of thousands of dollars."
38
Joe Biden
Somewhat Positive
00:10:06-00:10:22 (16 sec)
"But get this: Some healthcare providers are trying to get around the rule by putting in place -- putting in place a -- a -- the rule we put in place by prevent -- to prevent the surprise billings."
39
Joe Biden
Leans Positive
00:10:22-00:10:34 (12 sec)
"The travel industry figured out how to -- how to charge customers $90 a night in resort fees for hotels that aren't resorts. [Laughter] You think I'm kidding. [Laughter]"
40
Joe Biden
Unknown
00:10:34-00:10:53 (19 sec)
"Hospitals -- hospitals are trying to do something similar by using different designations to charge their higher out-of-network rates or -- or charging hidden -- hidden facility fees for going to a doctor's office in the building owned by the hospital."
41
Joe Biden
Negative
00:10:53-00:11:11 (18 sec)
"And some hospitals are working with credit card companies to promote medical credit cards. Sounds good. Consumers can use these cards to borrow the money to pay for the procedures and get charged but -- in the hospital -- but they get charged higher interest rates as a -- as a result of that. It's wrong. It's wrong."
42
Joe Biden
Slightly Positive
00:11:11-00:11:32 (21 sec)
"Today, my administration is closing these surprise -- surprise billing loopholes. Evading the law and playing games to charge patients outrageous prices has to end. It has to end. [Applause]"
43
Joe Biden
Slightly Negative
00:11:32-00:11:40 (7 sec)
"Folks, we're putting a stop to insurance companies gaming the networks and making them reveal any hidden facility fees. They've got to reveal them."
44
Joe Biden
Somewhat Positive
00:11:40-00:11:52 (12 sec)
"And for the first time in history, the Consumer Financial Protection Bureau and the Department of Health and Human Services and the Department of Treasury are teaming up to investigate whether healthcare providers promoting medical credit cards are violating federal law. [Applause]"
45
Joe Biden
Slightly Negative
00:11:52-00:12:03 (11 sec)
"Third -- third, we're lowering prescription drug prices for seniors and people with disabilities."
46
Joe Biden
Very Positive
00:12:03-00:12:22 (19 sec)
"With your help, I signed into law the Inflation Reduction Act. Among the many important things it does, it finally gives Medicare the power to negotiate lower prescription drug prices -- [applause] -- like the Department of Veterans Affairs does now."
47
Joe Biden
Positive
00:12:22-00:12:30 (8 sec)
"We've been trying to get this done for decades. I don't know how many times I made this speech on the floor of the United States Senate. [Laughter, Audience member calls out "Many"]"
48
Joe Biden
Leans Positive
00:12:30-00:12:36 (6 sec)
"I'm on- -- [laughs] -- yeah, many -- [laughter] -- along with many others, but now. [Laughter]"
49
Joe Biden
Unknown
00:12:36-00:12:40 (3 sec)
"And this time, we finally beat Big Pharma."
50
Joe Biden
Unknown
00:12:40-00:12:44 (5 sec)
"Seniors on Medicare who were paying as much as $400 a month for insulin are now paying $35 a month. [Applause]"
51
Joe Biden
Very Negative
00:12:44-00:13:15 (31 sec)
"And I might add -- I might add: The guy who invented the insulin -- the guy who invented it, he didn't even patent it because he thought everybody should have access to it. It costs $10 to make. To package it may be as high as $13. They're still making three times what it cost them. It's not like they're being cheated."
52
Joe Biden
Negative
00:13:15-00:13:29 (14 sec)
"You know, we also [DEL: closed :DEL] [capped] the total out-of-pocket drug costs for seniors on Medicare at $2,000 a year, even for expensive drug costs like cancer drugs that are $10-, $12-, $14,000 a year."
53
Joe Biden
Very Positive
00:13:29-00:13:45 (16 sec)
"Today, the Department of Health and Human Services released the report showing that when these provisions go into effect -- it's not -- they don't go into effect until 2025 -- one in three Medicare beneficiaries -- that's nearly 19 million people -- will save an average of $400 a year."
54
Joe Biden
Very Positive
00:13:45-00:13:58 (13 sec)
"Seniors with the highest drug costs will save an average of $2,500 a year. This is going to reduce out-of-pocket spending by Americans -- by Americans by nearly $7.5 billion annually. And guess what? [Applause] It matters."
55
Joe Biden
Positive
00:13:58-00:14:31 (33 sec)
"When we were negotiating the issue on whether the government is going to stay open, I spoke to some of my MA- -- my MAGA Republican friends. It not only -- it not only saves the -- the consumer, it saves every taxpayer. [Laughter] You're not paying that extra $7 billion because Medicare doesn't have to take the out-of-pocket and pay it."
56
Joe Biden
Slightly Negative
00:14:31-00:14:40 (8 sec)
"Last week, the Centers [DEL: for Medical :DEL] [of Medicare] and Medicaid Services released final guidance on how they'll negotiate with drug companies to lower prescription drug costs."
57
Joe Biden
Unknown
00:14:40-00:14:45 (5 sec)
"On September 1st, I'll announce the first 10 drugs selected for negotiation under the law."
58
Joe Biden
Very Positive
00:14:45-00:15:01 (16 sec)
"This will not only save consumers money, it's going to save the federal government money, as I just referenced. Negotiating drug prices alongside other parts of my prescription drug plan is going to save the taxpayers so far $160 billion. A hundred and sixty billion dollars. [Applause]"
59
Joe Biden
Very Negative
00:15:01-00:15:30 (29 sec)
"It lowers drug costs of prescription drugs, and it lowers the deficit. It lowers the deficit. And I might add: All the talk about I'm "Big Spendin' Biden," I lowered the deficit -- [laughter] -- 1 trillion 700 billion dollars in the first two years. [Applause] No one has ever done that."
60
Joe Biden
Slightly Positive
00:15:30-00:15:35 (5 sec)
"The last guy increased it by 40 -- anyway, I won't go into it. [Laughter]"
61
Joe Biden
Slightly Positive
00:15:35-00:15:38 (3 sec)
"Well, that's Bidenomics in action. [Laughs]"
62
Joe Biden
Somewhat Negative
00:15:38-00:15:49 (11 sec)
"But guess what? Big Pharma doesn't want this to happen, so they're suing us to block us from negotiating lower prices so they can pad their profits while hardworking Americans foot the bill."
63
Joe Biden
Unknown
00:15:49-00:15:56 (7 sec)
"But what we're going to -- we're going to see this through. We're going to keep standing up to Big Pharma."
64
Joe Biden
Positive
00:15:56-00:16:10 (14 sec)
"And we'll also stand up to MAGA Republicans who have been trying for years to get rid of the Affordable Care Act. They've tried 70,000 times, I think. [Applause]"
65
Joe Biden
Very Negative
00:16:10-00:16:20 (9 sec)
"To deny Americans -- to deny Americans access to the Affordable Healthcare Act -- on my watch, healthcare is not a privilege in this country. It should be a right."
66
Joe Biden
Very Positive
00:16:20-00:16:47 (27 sec)
"And, folks -- [applause] -- but let me -- let me close with this. When I ran for president, I promised I would not continue the trickle-down economics of the past, because here's the simple truth: Trickle-down economics represented the moment we walked away from how this country was built in the first place. Bidenomics is just the other way around: restoring the American Dream."
67
Joe Biden
Very Positive
00:16:47-00:17:02 (16 sec)
"Forty years of trickle-down economics limit the dream to those at the top. I believe that every American willing to work hard should be able to get a good job, afford good healthcare no matter where they live, in every part of the country, if they're willing to work."
68
Joe Biden
Slightly Positive
00:17:02-00:17:06 (4 sec)
"That's the American Dream. That's Bidenomics."
69
Joe Biden
Leans Positive
00:17:06-00:17:23 (16 sec)
"And it's why I can honestly say I've never -- I really have -- I -- I -- I know I don't look like it, but I've been around a while. [Laughter] But all kidding aside, I've never been more optimistic about America's future than I am today. I really mean that. I genuinely mean that."
70
Joe Biden
Positive
00:17:23-00:17:31 (9 sec)
"We just have to remember who in God's name we are. We're the United States of America. There is nothing, nothing beyond our capacity if we work together."
71
Joe Biden
Leans Positive
00:17:31-00:17:39 (8 sec)
"There's not a single major problem we've decided to solve as a country, together, that we've not succeeded in doing. Not a single one."
72
Joe Biden
Leans Positive
00:17:39-00:17:54 (15 sec)
"So why are we stopping now? There's so much opportunity. And because of all of you and the minds and the -- and the courage that you all represent in this room -- I really mean it -- there's no reason why we can't continue this."
73
Joe Biden
Very Positive
00:17:54-00:18:03 (9 sec)
"And, by the way, we're going to be fair. The suppliers, the drug companies, they're still going to do very well. Everybody is going to just do fine."
74
Joe Biden
Negative
00:18:03-00:18:06 (3 sec)
"I'm just tired of seeing Americans ripped off. [Applause]"
75
Joe Biden
Very Positive
00:18:06-00:18:14 (7 sec)
"God bless you all and [inaudible]. [Applause] Thank you."
76